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Simulator Training for Endovascular Neurosurgery
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Peers versus Pros: Feedback using standards in simulation training.

Wouter M IJgosse1, Bas Kengen1, Harry van Goor1

  • 1Department of Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, Gelderland, the Netherlands.

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|August 8, 2018
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Summary
This summary is machine-generated.

Peer feedback in surgical simulation training is as effective as expert feedback. While faster, this approach may increase errors, necessitating further research into optimizing simulator training for surgical skills.

Keywords:
FLS video trainerFeedbackLaparoscopyResident trainingSimulation trainingStandards

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Performance Standards

Background:

  • Developing expert performance standards for surgical simulators is resource-intensive, requiring consistent access to expert surgeons.
  • This study aimed to compare the efficacy of peer-based performance standards against expert-based standards in simulator training.

Purpose of the Study:

  • To evaluate if peer performance standards are as effective as expert performance standards in surgical simulator training.
  • To assess the impact of different feedback methods (peer, expert, none) on surgical skill acquisition.

Main Methods:

  • One hundred medical students participated in a four-session laparoscopic basic skills simulator training.
  • Performance on Fundamentals of Laparoscopic Surgery (FLS) videotrainer tasks was compared across three groups: peer feedback, expert feedback, and a control group (no feedback).

Main Results:

  • No significant difference in performance was observed between the peer feedback and expert feedback groups.
  • Both feedback groups demonstrated an 18-36% increase in speed compared to the control group.
  • However, the feedback groups also exhibited a 52% increase in errors on FLS video trainer tasks.

Conclusions:

  • Feedback based on peer standards is equally effective as feedback based on expert standards for surgical simulation training.
  • A notable trade-off between increased speed and increased errors was observed, which requires further investigation.
  • These findings suggest that peer feedback can be a viable alternative to expert feedback, but optimization is needed to mitigate potential increases in errors.